Individual provider Active NPI

Amy Lett

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1013458272
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133552 Issued in TX
Practice address
402 N 7TH St
Longview, TX 75601-6704
Phone
(903) 212-7800
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP133552 TX Primary

Addresses

Primary practice location

402 N 7TH St
Longview, TX 75601-6704

Mailing address

402 N 7TH St
Longview, TX 75601-6704
Phone (903) 212-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601000551 TX Practitioner - Nurse Practitioner 3173890886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP133552TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Special Health Resources for Texas, Inc CurrentSince Apr 18, 2017 Accepting new patients
Special Health Resources for Texas, Incorporated Current Accepting new patients
Special Health Resources for Texas, Incorporated CurrentSince Apr 18, 2017 Accepting new patients

Locations

402 N 7th St
Longview, TX 75601
Phone (903) 212-7170

2030 S High St
Longview, TX 75602
Phone (903) 234-0936

409 N 6th St
Longview, TX 75601
Phone (903) 315-5520

Interoperability endpoints

  • Direct secure messaging: amy.lett@wchcl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFADCA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1013458272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N 7TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016704",
            "telephone_number": "903-212-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N 7TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016704",
            "telephone_number": "903-212-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETT",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.